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HomeMy WebLinkAbout1181 Picard Ln - Applications/Basement Finish - 10/13/2008BUILDING PERMITS & INSPECTIONS DIVISION PO Box 580 • Fort Collins, CO 80522-0580 Phone 2216760 www fcgov corn/building City of Fort Collins BUILDING PERMIT APPLICATION APPLICATION NUMBER �Mu 1 APPLICATION DATE I o II S l Job Site Address %/if/ /10/61/Z6 Z,%Ve . Unit # PROPERTY OWNER 1 �ER INFO (All owner information is required - it its not optional) Phone # .2 Last Name ,/`7f/ Ij/4tv /,, First Name Ls4R"ei Middle Street Address //J/ /0/(w,6 ZIwe City /:�9R74Cy4t,A45 State e::�b Zip 0� � CONTRACTOR INFO Lic Holder Name Mailing Addre Company Name Z-+��%f1�/Vi 11c"1/✓f,$W der Phone # F; orv.v�2 City of Fort Collins License # Supervisor Cert # City State Zip LEGAL INFO y� Subdivision/PUD Z9 �'�Z61/� Fling # Lot # Block # Lot Sq Ft `�•0O F-7'C I STI N<a �� CONSTRUCTION INFO Total Building Sq Ft (not including basement) 3'�v2�o Total Garage Sq Ft D��c��c..�� Residential Sq Ft ;ZS v17/ Comm I Sq Ft # of Stories_ Bldg Height # Dwelling Units / 1si: Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft a4/3 Finished Bsmt Sq Ft -t9— # of Bedrooms :3 # of Full Baths % % Baths / '/2 Baths # of Fireplaces 3 -- Air Conditioning Yes No Energy info (Circle appropriate choice) 1 ComCheck 2 ResCheck w/Air Sealing 3 ResCheck w/Blower Door 4 E Star w/Blower Door 5 Prescriptive w/Air Sealing 6 Prescriptive w/Blower Door City of Fort Collins Stock Plan # UTILITIES INFO List appropriate option #s Water Tap Size Sewer Tap Size Metered Ye or No Temp Pedestal Yes or No Type of Heat K Gas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other Value of Construction (including labor material & profit) $ r"`1' to Description of Work AW17, f'�. 0/7 xg�MYZi1/D/-- 250?t ,C)A16//V/S/-144 IMLE4. %7I)ME 16001416 /01-06 V 77oiy 4 - ,4 Z-5046,94 A-1/2 h •9 77i'✓G ��YS iY Contact Name & Phone # of JOBSITE SUPERVISOR ©LJlya - Z4,f1,>?.4R71-Z4A/ - ; �oa (o Subcontractor Info Electrical "41/ 7-Z4494- AZA& reI Mechanical Plumbing -5401- &0-17��5 Framer D(e1/t/4154 Roofing /V Concrete /V19 Other Applicant I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all requirements contained herein and City f Fo ollins ordm ces d state laws regulating building construction /� /J�, Applicant Signature Print Name ZiQoW/ - /4 Ael $9-IV Phone a66 Distribution White - Office Yellow - Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE